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HLTH AGE 2G03 - June 24.docx

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Health, Aging and Society
Mat Savelli

HLTH AGE 2G03 – Monday, June 24, 2013 – Dr. Mat Savelli  Patient, survivor, consumer, client, person -> can be a person with mental illness  Mental disorders are characterised by their effect on: thought, behaviour, mood Ways of Thinking About Mental Illness  A problem between an individual and God (spiritual problem)  Balance problem (Ying/Yang, bodily humours, neurochemicals)  Somatic problem (genetics) - problem of the brain  Personal problem (if you are happy, you won't have problems, it's your fault) - no such thing as mental illness at all  A problem of consciousness (become aware of what conflicts are and then you're in better shape)  Social problem (more social illness in poor communities than rich, it's a consequence of people who have more struggles in life The Medical Model  Sees mental illness as a physiological disease like any other, with viruses, lesions, and genetics causing malfunctions in the brain  Is like a physical order - has symptoms, diagnosis, and treatment  Focuses on individual  Some believe the medical model is an attempt on part of medical professionals to cut others out of the equation (clinical, etc.) Psychological Model  Focuses on the mind as a construct  Brain is physical, while mind is nebulous concept  Mental disorder arises from internal mental processes  Disorder in the mind, rather than brain Behavioural Model  Mental disorder is primarily learned behaviour rather than physiological illness or a psychological conflict, people are conditioned positively or negatively  A matter of unlearning those deviant behaviours Sociological Model (Social Stress Model)  People have different resources and roles in life  If you have lots of resources and lots of roles, you will be mentally healthy  If you have few resources and not important/rewarding roles, you willl be more apt to be mentally ill  Age, ethnicity, class influences people's aptitude for mental illness Why so many models?  Part of problem is that different explanations of mental illness work better with different types of disorders  Also highly personal subject -> you look for a model that makes sense to you o Some people find models offensive  Some people advocate the biopsychosocial model - there are all sort of things that are involved o The way you interact with the environment o How your parents support you or not o Both nature and nurture The mind/Body Dualism  Someone who is depressed may feel exhausted -> there is a mental and physical aspect  The only real division between physical and mental illness is not cause by rather symptom  Not something wrong with brain, but express from something else o For example, runny nose means cold, not necessarily something wrong with nose Mental Disorders are Different  Stigma - someone with severe mental illness will be associated with that for the rest of their life  Agency and blame - My mother got cancer -> she didn’t go get it o But with mental illness, it's as if they have an extra role to play (it's their own fault) o It's their fault for not going out, doing drugs, etc  Affects the whole of the self o Those suffering from mental illness as the entirety of the organ  The entirety of the person instead of separating from their illness like other diseases  Mental disorders aren't always seen as entirely negative o Bipolar person can work really well, etc  The power of psychiatry o Only psychiatrists had power to confine someone  They can declare someone unfit for work  Can testify trials and say if someone is guilty or not  More mysteries - what separates illness from regular behaviour? How is normality defined? o Your arm is broken or not broken -> it's obvious, but it's hard to figure with mental disorders  They rarely examine the organ that they treat o They don’t get the brain scan o Don’t have the technology to use anything in an efficient way DSM  Early editions psychodynamic in nature, now focuses on symptoms o Someone with this had abuse as a child and etc (cause) o Now they do not talk about cause - DSM does not mention cause, no one agrees with it  Rosenhan experiment - he sent people to were sane to mental hospitals and they were diagnosed as insane - doctors cannot tell if they were normal or not o The hospital diagnosed 41 fakes but Rosenhan sent no one o Happened to 1970s DSM III (1980s Revisions)  ICD: international classification of disease  Focuses on symptoms  Disruptive mood dysregulation DSM Criticisms - As a Whole  No hard objective science o We need to create something based on verifying science, rather than people agreeing on a
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